OSSEOUS coccidioidomycosis in children occurs as a dissemination of the disease. A search in the Quarterly Cumulative Index Medicus revealed no specific publications on the subject of coccidioidomycosis of the bone in children. There is unquestionably a prevalence of misinformation regarding the morbidity and mortality of this disease. In our opinion, it is a chronic self-limiting disease which rarely ends fatally unless there is generalized systemic involvement in addition to the osseous involvement. Caffey1 summed up the subject briefly under the
heading "Mycotic Osteomyelitis" by stating that the cranium was sometimes involved in the rarer chronic infections, such as actinomycosis, blastomycosis, and coccidioidomycosis.
One of the most traveled highways in the United States is through the heart of an endemic area for coccidioidomycosis. As a result of this study and from personal experiences, we feel that this form of disseminated coccidioidomycosis occurs relatively frequently in endemic areas and is